Ann Marie Abenavoli, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

140925 Issued in NY

Practice address

967 N Broadway
Yonkers, NY 10701-1301

Phone

(914) 964-4330

Fax

(914) 964-4767

NPI assigned

Nov 30, 2005

Last updated

Jan 7, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1386628600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HETTIEFRED RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068313205",
            "telephone_number": "914-964-4579",
            "fax_number": "914-964-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011301",
            "telephone_number": "914-964-4330",
            "fax_number": "914-964-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABENAVOLI",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "140925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00999239",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Umma Adama Abdullahi
• Mezgebu Abebe
• Bruce D Abel, D.P.M.
• Elizabeth Carol Abel, MSW
• Rosalind B Abel, D.P.M.
• Ese Peter Abohwo, NP
• Abhilash Abraham, PT, DPT
• Ruby Jacob Abraham, RN
• Sanjana C Abraham
• Saramma D Abraham, DDS

• Diagnostic Radiology Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.